Provider Demographics
NPI:1215734785
Name:EAST TO WEST PROFESSIONAL CLINICAL COUNSELOR
Entity type:Organization
Organization Name:EAST TO WEST PROFESSIONAL CLINICAL COUNSELOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, LPCC
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:949-966-5898
Mailing Address - Street 1:33031 SEAWATCH
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-1851
Mailing Address - Country:US
Mailing Address - Phone:949-966-5898
Mailing Address - Fax:
Practice Address - Street 1:27201 PUERTA REAL
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-7359
Practice Address - Country:US
Practice Address - Phone:499-665-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty